Norcal Radiologists Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A51055 Issued in CA

Legal business name

NORCAL RADIOLOGISTS INC

Practice address

1421 Oakdale Rd
Modesto, CA 95355-3356

Phone

(209) 572-2700

NPI assigned

Apr 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Serge Djukic, MD

Title

Owner

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1912341710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N STAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 OAKDALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553356",
            "telephone_number": "209-572-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL RADIOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "DJUKIC",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A51055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim A Nolan
• Kenneth E Nolte, P.T.
• Shannon E Nolte
• Deanna Mena Noorzay
• Norcal Pain Treatment Center Corp.
• Jett Luciaenne Norcross I
• Vaughn Edward Nordes, D.D.S.
• Blanca Noriega Martinez
• Lindsay Noriega, PHARM. D.
• Brad Norleen Jr.

• Diagnostic Radiology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.